Graduated: 2020
NPI: 1992383517
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
300 MED TECH PKWY
JOHNSON CITY, TN 376042277
4233021000
STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC
301 MED TECH PKWY
JOHNSON CITY, TN 376042364
4237945500
Source: CMS National Downloadable File, September 2026.